Abstract

We read with great interest the excellent review by Lee &Ansell on direct thrombin inhibitors recently published inthe British Journal of Clinical Pharmacology [1].We wouldbriefly comment on the reported dosage of lepirudin.Table1 of the review article displays the official lepirudindose,as provided by the summary of product characteris-tics and also indicated in the last edition of the ACCPguideline on parenteral anticoagulants [2], suggesting toadminister, in patients with heparin-induced thrombocy-topenia (HIT) and thrombosis, a bolus of 0.4mgkg

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